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Doctors diagnose BED by looking for specific patterns, such as: Eating unusually large amounts of food in a short time (usually within 2 hours) Feeling out of control during eating episodes Experiencing these episodes at least once a week for three months Feeling distressed about the binge eating Not regularly purging or engaging in compensatory behaviors like excessive exercise or laxative misuse after binges (which may veer towards bulimia) Self-screening tools like the Binge Eating Scale may help you assess the severity of your binge eating behaviors and track your improvement during treatment